Organization
FLORIDA DEPARTMENT OF HEALTH
Active
Other names
St Johns County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE LOCKWOOD (HEALTH OFFICER)
(904) 506-6153
Entity
Organization
Contact information
Practice address
200 SAN SEBASTIAN VW, ST AUGUSTINE, FL 32084-8695
(904) 506-6081
(904) 825-6875
Mailing address
200 SAN SEBASTIAN VW, ST AUGUSTINE, FL 32084-8695
(904) 506-6081
(904) 825-6875
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027965000
—
FL
01
—
6000002143
RAILROAD MEDICARE NUMBER
FL
01
—
99309
MEDICARE GROUP ID
FL
Enumeration date
02/10/2006
Last updated
04/18/2024
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